Dialectical classification can't take the place of the syndrome differentiation and treatment (one)

MengQingYun Chinese medicine academy of sciences

China's traditional Chinese medicine reported

        Dialectical points the syndrome differentiation and treatment of type is one important content of the system. In the syndrome differentiation system, since ancient times has a dialectical classification. Modern dialectical points type development soon, not only as a form of clinical medical paper, also has a lot of teaching material used the differentiation of this type points form. But, should see, the dialectical points with syndrome differentiation type have qualitative different, still can't take the place of, more should not replace the syndrome differentiation and treatment.

        "The syndrome differentiation and treatment" origin

        The syndrome differentiation and treatment of patients with clinical diagnosis and treatment is a doctor of operation procedure and thinking skills and theoretical generalization. The ancestors of the syndrome differentiation and treatment is in medical practice, shen nong to taste the type grass through random treatment, and then step down to the healing memory targeted symptomatic treatment phase. Miu as the party fifty-two disease of the display is symptomatic treatment of medical experience, and the call of problems but symptoms to blindly or several flavor combinations of drugs to treat. The "yellow emperor of the twelve party also so. Symptomatic treatment can be a true Renaissance syndrome differentiation and treatment of simple way or primary form.

        Zhongjing's "typhoid miscellaneous diseases theory of syndrome differentiation system indicated the established, and in theory, the yellow emperor than to break through. The yellow emperor laid of TCM "whole-theory" mode. The typhoid miscellaneous diseases theory "is" the case-program "pattern, the provisions of this type, each with the real proven case for according to, and in the article and some program to provisions of the disease in summarized their boundaries, is to outline. So with LiuJingZhe, thus it is treated in the han dynasty before said avenue, such as encompassing of heaven and earth, the way of the medical and avenue in, of course, treated with law, case of experience, in the items of the theoretical. First and symptoms and signs of syndrome, spoke after to party, a square card corresponding characteristics. The book of zhongjing's, for differentiation made program, and for making method, is "hang method, made JinLiang".

        Zhongjing's book is written by WangShuHe finishing time, although there are after "the secret ZhongJingFang and jiangnan teacher do not preach," and many segregation points made up, to after the song, with "treatise on febrile diseases" and synopsis of golden chamber two books inheritance, tang in clinical physicians and comments on a play more, but party card has been used so the road of the corresponding. Until jinyuan four leader liu HeJian the "mystery meat asked the disease type", pay attention to the disease, camera ShiFang before, the new breakthrough. Camera ShiFang think disease and syndrome is key to the pathogenesis, to know after the pathogenesis, can choose or creating the pathogenesis of suitable for prescriptions. A prescription to have its pathogenesis, no matter what disease and syndrome, as long as the corresponding with the card, can use is the party. Can be called "pathogenesis differentiation" mode. As the Ming dynasty WangYingZhen said: "see phlegm Hugh to sputum, see blood for blood, no sweat Hugh not sweating, a heat mo attack, out of hot gas consumption, born not pure du don't stop astringent, Ming to the fun, party is medical zhongjie." With party according to the pathogenesis, the company its genus, syndrome differentiation and treatment is the "mystery". This is liu HeJian a great contribution to the research and pathogenesis, syndrome differentiation and treatment of zhongjing's is development. This is a big break for traditional financial, clinical use today.

        ZhongJingZhu the typhoid miscellaneous diseases theory ", is "flat pulse differentiation" to summarize the clinical course. Actually take in the three for extremely-disease and syndrome party theory "is used" for disease dialectically, along with the card to making "to blanket. Later on the subject of ten words constantly refining, such as Ming dynasty XuChunPu physicians in the ancient and modern medical series with "say" due to illness treats ", ZhouZhiGan in the ShenZhai suicide "called" pattern identification and treatment ", ZhangJieBin in the JingYue encyclopedia britannica called the "making old", the qing dynasty XuLing tire in the medical origin of "called" see treats disease "and then XuGu chapter in the second run of medical door gathering" used "syndrome differentiation" one word, to contemporary "syndrome differentiation" has become the norm TCM term.

        Form "syndrome differentiation and treatment" of the specific factors

        Traditional Chinese medicine is a clinic operation of why the syndrome differentiation and treatment on the road? The main and the TCM theory and national way of thinking about. Traditional Chinese medicine theory itself is dialectical, in clinical also naturally dialectical use. The yellow emperor to the understanding of the causes is not due to a fruit a causal determinism, but for more than a fruit, for more than a fruit choice theory can be, that is the cause of dialectical view. As the old object of syndrome, is the symptoms and signs and its time space comprehensive. Deals with causes, such as cough, is "the intestines are a cough"; Such as certified card, not only "the wind cold dampness miscellaneous to three gas becomes more", and even the heat, blood stasis and qi stagnation, all can cause bi; For insomnia syndrome, not only five of the qi deficiency, a hidden deficiency can cause insomnia, the stomach with, can cause insomnia becomes, who works on the camp, the rhythm of the power and barriers are can cause insomnia, and so on. Traditional Chinese medicine theory of dialectical requires dialectical clinical operation. Form the syndrome differentiation and treatment of the specific factors have four: the disease is a dynamic concept, 2 it is to pay attention to the disease time factor, three is the cause of the name speculative way of thinking, four of its content is appropriate principle of operation.

        In interpreting the · XiCi ", "the move is its become" is "" easy" way of the saint who have four how "one. Dynamic variation of idea, is the "book of changes" to drop the pioneers of the pre-qin scholars and even the basic idea, and in medicine is also the yellow emperor YiGong and the basic concepts. They used this concept dynamic to disease, examine diseases, and with syndrome differentiation for unit to. When the other major Chinese idea is "expensive", namely the things and the human body life value time factor, the yellow emperor extremely heavy si, the viscera and channels are contains time factors, says "time structure". With time and is hiding structure as one of the characteristics of theory, it also makes the syndrome with time structure, the certificate should be the cause for different but.

        Dialectical way of thinking is national traditional thinking mode of a big features. In the pre-qin period cause the "cause". Confucius says, "right from the", "to name is solid" to demonstrate. The GongSunLong son · mark mansion ":" to push is in actuality and the cause is how the world." Xun zi also said: "name and real cause they set, and the volunteers." In interpreting the · XiCi "is standard for distinguishing content is words". Ancestors in pre-qin is development had "cause" card logic. Pay attention to the dynamic, pay attention to the time and with the "cause", Chinese medicine to pay attention to the uncertainty of the disease and a contingent causal, lie in wait by the dialectical led clinical services, namely syndrome differentiation. The rites · exam work to record "" as its content appropriate" is one of the traditional engineering, the coffins · 9 needle spirit twelve original "is also quoted" as its content appropriate "of the language of acupuncture to used in operation, this also is one of the traditional Chinese medicine treatment operation principle, the later is for the" three for condition ". In the four aspects of the above a combination of factors, TCM has developed the syndrome differentiation and treatment.